Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.64 / $125.64 / $125.64	Facility		$125.64	$125.64	$125.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $91.54 / $125.64	Professional		$89.75	$91.54	$125.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $84.67 / $89.75	Facility		$84.67	$84.67	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $122.96 / $700.00	Facility		$84.06	$122.96	$700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $82.41 / $1,668.00	Professional		$82.41	$82.41	$1,668.00
United Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $130.13	Professional		$89.75	$89.75	$130.13